Damage_Survey_Report_FS379-C30_C31_W37-E.pdf

Sheet No: 1 of 6

DSR No:

No.379 - FR379

Surface Type: Aggregate Thickness: 6"

Surface Type:

Unit Unit Price

Unit Unit Price Lpsm $ Lpsm $ Ton $

Lnft $ Lnft $

Cuyd $

Eligible Ineligible

Eligible Ineligible

Disaster No:

Location of Damage (Route No., Name of Road and Mile Post):

Construction Engineering

Proposed: Force Account Contract Total Permanent Repairs Preliminary EngineeringIdentify Betterment, if any, and provide justification*

COST ESTIMATE for PERMANENT REPAIRS*

$0.00 $0.00 $0.00

Cost

Traveled Way Width: Varies

Shoulder Width:

Description and Cause of Damage: Extensive heavy rainfall (8" - 11") in less than 24 hours on July 11, 2016 led to extensive flooding and damages to over 1,000 miles Forest Service.

Scope/Description of Repair:

1. Resurface roadway with 6" of Aggregate Surface Course

2. Place or replace riprap at Culvert Outlets

3. Install new 24" pipe.

4. Erosion control structures

5. Only Repair site W37. C30 and C31 are rejected.

Quantity Materials & Supplies

Item Description COST ESTIMATE for EMERGENCY REPAIRS*

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

Classification:Bridge Data:

Type:

ID#:

WI2016-1-FS

Salary & Travel

SOIL EROSION CONTROL

Cost

$0.00

Administrative

8 PLACED RIPRAP, METHOD A, CLASS 3

Subtotal Permanent Repairs (continuation sheet)

MOBILIZATION

AGGREGATE SURFACE COURSE 44

Quantity

Proposed: Force Account Contract Total Emergency Repairs

Recommended By: (Name and Title) Eric Wright, ERFO Coordinator

Date: 6/1/2017

Date:

Signature:

Signature:

Signature:

Date:

Submitted By: (Name and Title) Created by Julian Gonzalez, Edited by Patrick Hampston, Civil Engineer

Reviewed By: (Name and Title) Mark Beuning, Forest Engineer

Right-of-Way

TOTAL ESTIMATED COST

(Emergency and Permanent Repairs)

Other

DAMAGE SURVEY REPORT

(Title 23, Federal-Aid System/Federal Domain)

Inspection Date: 08/23/2016

ADT: <200

C30 C31 W37-FS379-E

State:

Wisconsin

County: Bayfield / Ashland / Sawyer

Applicant: Chequamegon-Nicolet National Forest

Photograph #:

Road Data:

42 REMOVAL OF PIPE CULVERT

Item Description

42 24-INCH PIPE CULVERT

PATRICK HAMPSTON

Digitally signed by PATRICK

HAMPSTON

Date: 2017.06.01 10:36:40 -05'00'

Mark Beuning Digitally signed by Mark Beuning DN: cn=Mark Beuning, o=Chequamegon-Nicolet National Forest, ou=Region 9, email=mbeuning@fs.fed.us, c=US Date: 2017.06.02 00:14:32 -05'00'

JOHN E WRIGHT

Digitally signed by JOHN E WRIGHT DN: c=US, o=U.S. Government, ou=DOT FHWASterlingVA, ou=FHWA FHWASterlingVA, cn=JOHN E WRIGHT Date: 2017.06.02 13:37:53 -04'00'

Sheet No: 2 of 6

Disaster No

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/A

Figure 2 - Crossdrain riprap protection and undermined culver outlet 1088 46.270° N , 91.013° W - Site C31

No.379 - FR379

Figure 1 - Clugged CMP and outlet protection needed

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway DAMAGE SURVEY REPORT (Supplemental Sheet) C30 C31 W37-FS379-E

(Title 23, Federal-Aid System/Federal Domain) WI2016-1-FS

Chequamegon-Nicolet National Forest Wisconsin

Sheet No: 3 of 6

Disaster No

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/A

46.270° N , 91.013° W - Site C31

Figure 4 - Surface washout and cross road drain replacement

46.276° N , 91.018° W - Site W37

FR 390 - Kornstead Road

Figure 3 - Surface washout FR379

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway DAMAGE SURVEY REPORT (Supplemental Sheet) C30 C31 W37-FS379-E

(Title 23, Federal-Aid System/Federal Domain) WI2016-1-FS

Figure 4 Surface washout and cross road drain replacement

Sheet No: 4 of 5

Disaster No:

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/A

Location No. / Beginning Beginning FS Number Latitude - N Longitude - W Photo selected

C30 46.254 Photo's 1076 - 1083 1083 C31 46.270 Photo's 1084 - 1089 1084 & 1088 W37 Photo's 1090 - 1092 1092

No.379 - FR379

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway DAMAGE SURVEY REPORT (Supplemental Sheet) C30 C31 W37-FS379-E

Sheet No: 5 of 6

Disaster No:

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/A No.379 - FR379

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway DAMAGE SURVEY REPORT (Supplemental Sheet) C30 C31 W37-FS379-E

Sheet No: 6 of 6 DSR No: C30 C31 W37-FS379-E

No.379 - FR379

Roadway

Coordinates Embankment Ditch Recond.

Aggregate Surface

Rte. North West DSR Length

(ft) Width

(ft) Depth (ft) Area

(sqyd) Volume (cuyd)

Depth (in)

Length

(ft) Tons Remark Betterment

379 46.2539 C30 150.0 16.0 0.0 266.7 6.0 87.0 Full width surface reconditioning C30 to

Standards 379 47.2539 C30 25.0 6.0 3.0 16.7 16.7 Embankment

379 46.262 C31 90.0 16.0 6.0 52.2 Full width surface reconditioning 379 W37 75.0 16.0 6.0 43.5 Embankment

Totals 283 17 0 183

Notes:

Unit Weight (Asphalt)= 150 lbs/cf Unit Weight (Aggregate)= 145 lbs/cf Unit Weight (Riprap)= 135 lbs/cf

Drainage

Rte. North West DSR Existing Size (in)

Pipe Cleaning

(ft) Rem. of

Pipe Culvert (ft) 24" Pipe Culvert

36" Pipe Culvert

42" Pipe

Culvert Remove Culvert

Riprap, Class 3 (cuyd) Remark

379 46.2539 C30 24"x18" 34 34 8.38 CMP 379 46.262 C31 17"x13" 34 4.21 CMP

379 W37 18" 42 42 8.38 CMP

Totals 34 0 42 34 0 76 21

Surface reconditioning 183

Roadway excavation 17 Cleaning culverts 34 Remove culvert pipe 76 Riprap outlet protection 21

C30, W37

Location of Damage (Route No., Name of Road and Mile Post): ADT: <200

QUANTITY COMPUTATIONS

Roadbed Reconditioning

Coordinates

C30, W37

C30, C31, & W37

DSR

LNFT

C30, C31, & W37

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway DAMAGE SURVEY REPORT (Supplemental Sheet)

(Title 23, Federal-Aid System/Federal Domain) Disaster No: WI2016-1-FS Applicant: Chequamegon-Nicolet National Forest County: Bayfield / Ashland /

Sawyer State: WI Inspection Date:08/23/2016

C31

LNFT

Work Description Unit Totals

Tons

Cuyd Tons